ICU急性肾损伤的高危因素分析  

The study of high risk factors of acute kidney injury

作　　者：张长春[1] 贾晓君[1] 张淑敏[1] 

机构地区：[1]解放军306医院ICU,北京100101

出　　处：《临床急诊杂志》2014年第5期262-264,共3页Journal of Clinical Emergency

摘　　要：目的:探讨ICU住院患者急性肾损伤的危险因素。方法:回顾性分析重症监护病房2008-03-2013-03住院治疗的840例患者临床资料,应用多因素回归分析方法探讨发生急性肾损伤的高危因素。结果:840例患者中284例发生AKI,发病率为33.8%。284例AKI患者死亡68例,死亡率23.9%。年龄、APACHEⅡ分值、脓毒症、糖尿病、使用肾毒性药物、基线血肌酐值、休克是AKI发生的危险因素。结论:AKI是ICU中常见并发症,死亡率高。年龄、APACHEⅡ分值、脓毒症、糖尿病、使用肾毒性药物、基线血肌酐值、休克是AKI发生的独立危险因素,应采取多种综合措施减少AKI发生。Objective：To explore the high risk factors of acute kidney injury（AKI）.Method：A retrospective study was performed to investigate the possible high risk factors of AKI in 840patients who were admitted to ICU from Mar 2008to Mar 2013.Factors associated with AKI were analyzed using a multivariate analysis with logistic regression.Result：Of the 840patients,the incidence of AKI was 33.8%,the mortality of AKI was 23.9%.Multivariate analysis indicated that age,APACHEⅡscore,baseline creatinine,sepsis,diabetes,shock,and renal toxic drugs were independently associated with AKI.Conclusion：Age,APACHEⅡscore,baseline creatinine,sepsis,diabetes,shock,and renal toxic drugs are risk factors for AKI.

关 键 词：急性肾损伤 危险因素 

分 类 号：R641[医药卫生—外科学]